THE AMERICAN COLLEGE, MADURAITHE AMERICAN COLLEGE, MADURAITHE AMERICAN COLLEGE, MADURAITHE AMERICAN COLLEGE, MADURAI

National Conference on

“Impacts of Pollution on Health and Restoration of Quality

Environment Through Biotechnology Applications” (EBAC-2018)

2 & 3 FEBRUARY 2018

REGISTRATION FORM

Name (in Block letters):

Sex : Male/Female

Designation : Student/Research scholar/Faculty/Scientist

Institution/College :

Address for Communication :

Contact Numbe :

E-Mail ID :

Presentation : Yes No

Title of the Paper :

Amount (Rs) : 500 / 700 / 1000

Details of Registration Fee : DD No. & Date:

Name of the Bank:

Signature of HOD Signature of the Participant

Note:

� The photocopy of this form can also be used /a soft copy can be downloaded from the

college website

� A soft copy of the abstract should be sent to ebcamc2018@gmail.com along with the

DD.

� DD to be taken in favour of “BURSAR, The American College”, payable at Madurai.

� Send the Registration form along with the DD to

Dr. A. Joseph Thatheyus,

Assistant Professor (Organising Secretary-EBAC- 2018)

PG and Research Department of Zoology

Department of Immunology and Microbiology.

The American College, Madurai-625002.

Mobile No: 094874 24820, 09894905798.